Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $745.28 / $2,936.00 / $10,268.00	Facility		$745.28	$2,936.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.55 / $745.28 / $1,286.70	Professional		$620.55	$745.28	$1,286.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,287.00 / $14,996.00	Facility		$1,712.00	$3,287.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $540.88 / $731.77 / $1,329.97	Professional		$540.88	$731.77	$1,329.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $690.64 / $690.64 / $690.64	Facility		$690.64	$690.64	$690.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $635.33 / $903.27 / $1,505.91	Professional		$635.33	$903.27	$1,505.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $710.94 / $971.63 / $1,502.69	Professional		$710.94	$971.63	$1,502.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.16 / $620.48 / $1,076.32	Professional		$109.16	$620.48	$1,076.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,551.00 / $5,235.00	Facility		$1,689.00	$2,551.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $673.97 / $898.63 / $1,499.26	Professional		$673.97	$898.63	$1,499.26